Meeting the nutritional needs of elderly residents in aged-care: Are we doing enough?
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Institutionalized elderly are at high risk of malnutrition, including those residing in low-level aged-care and able to self-feed. We used comprehensive dietary intake assessments to determine the nutritional adequacy of food served to residents and if food waste contributed to insufficient nutrient intakes.
18 low-level aged care facilities.
199 residents (mean age 86.7 yrs, 76% females).
Dietary data using 3-6 day weighed food records. Foods were categorized into main food groups (grains, fruit, vegetables, meats, dairy and ‘extra’) and quantified based on recommended serving sizes. Chi squared test was used to determine sex differences in proportion of residents below recommended intake levels.
Residents were provided with sufficient serves of fruit (> 2) and meats (> 1), but not dairy (< 3), vegetables (< 5) and grain foods (women only, < 4), and excess serves of ‘extra’ foods (> 2). Mean dietary intakes did not meet recommendations for calcium, zinc, magnesium, potassium, folate and dietary fibre with many residents not meeting energy and protein requirements. Sodium intake was up to 3 times higher than recommended, and sugars consumed in excess. Food waste was 0-15% and resulted in men not consuming recommended serves of grain foods. ‘Extra’ foods contributed substantially to energy intake but provided few of the required nutrients.
Substituting some ‘extra’ foods for serves of dairy, vegetables and wholegrain foods would improve the nutritional quality of foods, without altering food volume, so is feasible to improve nutritional status in elderly aged-care residents.
Key wordsAged-care food intake malnutrition nutrient deficiencies
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- 10.Aged Care in Australia. (2006) www.health.gov.au. [cited July 2007].
- 12.Kellett E, Smith A, Schmerlaib Y. (1998) The Australian Guide to Healthy Eating. In: Ageing Dept. of Health, editor.: Commonwealth of Australia.Google Scholar
- 14.Iuliano-Burns S, Woods J, King K, et al. (2012) A dairy-based protein, calcium and vitamin D supplement reduces falls and femoral neck bone loss in aged care residents: a cluster randomised trial. J Aging Res Clin Prac. 2(2):141–146.Google Scholar
- 16.Nutrient Reference Values for Australia and New Zeland. (1991) www.nrv.gov.au. [cited March 2012].
- 18.Schurch MA, Rizzoli R, Slosman D, et al. (1998) Protein supplements increase serum insulin-like growth factor-I levels and attenuate proximal femur bone loss in patients with recent hip fracture. A randomized, double-blind, placebo-controlled trial. Ann Intern Med. 15;128(10):801–809.CrossRefPubMedGoogle Scholar
- 27.Working group from the ANZBMS. (2005) Vitamin D and adult bone health in Australia and New Zealand: a position statement. Med J Aust. 21;182(6):281–285.Google Scholar
- 38.Katsanos CS, Kobayashi H, Sheffield-Moore M, et al. (2006) A high proportion of leucine is required for optimal stimulation of the rate of muscle protein synthesis by essential amino acids in the elderly. Amer J Physiol. 291(2):E381–E387.Google Scholar
- 42.Lesourd B, Raynaud-Simon A, Mazari L. (2002) Nutrition and Ageing of the Immune System In: Calder PC, Field CJ, Gill HS, editors. Nutrition and Immune Function. Wallingford CABI, International Publishing.Google Scholar
- 45.Simmons SF, Reuben D. (2000) Nutritional intake monitoring for nursing home residents: a comparison of staff documentation, direct observation, and photography methods. J Amer Geriatr Soc. 48(2):209–213.Google Scholar
- 48.Volkert D, Pauly L, Stehle P, Sieber CC. (2011) Prevalence of malnutrition in orally and tube-fed elderly nursing home residents in Germany and its relation to health complaints and dietary intake. Gastroenterol Res Pract. 2011. 247315.Google Scholar